Continuous wavelet transform modulus maxima analysis of the electrocardiogram: Beat characterisation and beat-to-beat measurement

The problem of automatic beat recognition in the ECG is tackled using continuous wavelet transform modulus maxima (CWTMM). Features within a variety of ECG signals can be shown to correspond to various morphologies in the CWTMM domain. This domain has an easy interpretation and offers a useful tool for the automatic characterization of the different components observed in the ECG in health and disease. As an application of this enhanced time-frequency analysis technique for ECG signals, an R-wave detector is developed and tested using patient signals recorded in the Coronary Care Unit of the Royal Infirmary of Edinburgh (attaining a sensitivity of 99.53% and a positive predictive value of 99.73%) and with the MIT/BIH database (attaining a sensitivity of 99.70% and a positive predictive value of 99.68%).